LCDActive
MolDX: Envisia, Veracyte, Idiopathic Pulmonary Fibrosis Diagnostic Test
L37887
Effective: June 29, 2023
Updated: December 31, 2025
Policy Summary
Envisia Genomic Classifier is covered for patients with ILD suspected of idiopathic pulmonary fibrosis when HRCT does not show a definitive UIP pattern and no other cause of ILD is identified; testing must be performed on bronchoscopy transbronchial biopsy tissue and interpreted with clinical and radiographic data. Coverage is limited to this diagnostic scenario to help avoid higher-risk surgical lung biopsy and is not provided for patients with definitive HRCT UIP or identified non-idiopathic causes of ILD.
Coverage Criteria Preview
Key requirements from the full policy
"Envisia Genomic Classifier is covered for patients with interstitial lung disease (ILD) who are suspected of idiopathic pulmonary fibrosis (IPF) and who do not have a definitive usual interstitial ..."
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